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SURGICAL TREATMENT OF PROLAPSE OF THE UTERUS AND WALLS OF THE VAGINA

W. J. MAYO, M.D.
JAMA. 1912;LIX(16):1421-1424. doi:10.1001/jama.1912.04270100189002.
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In reviewing the records of St. Mary's Hospital from Sept. 30, 1889, to Sept. 1, 1912, I find that 629 women have been operated on for prolapse of the uterus. The patients coming to this hospital are largely from agricultural communities. The majority of these cases were of the more serious forms of this condition brought about by changes in the tissues, the result of repeated pregnancies aided by physical exertion due to the occupation of the patients. In all of these patients the cervix presented itself at the vulvar orifice or protruded from the vagina with more or less of the vaginal wall. In many of the senile cases the entire uterus and a large portion of the bladder and rectum composed the constituents of the prolapse.

It is a curious fact that, while erosion and ulceration of the cervix are comparatively common, there were but two cases of malignancy

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